CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT

Objective: To assess the clinical as well as radiological outcomes of the conservative management of mandibular condyle fractures. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery (OMFS), Armed Forces Institute of Dentis...

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Main Authors: Humaira Sarwar, Irfan Shah, Ali Akhtar Khan, Adnan Babar, Saad Mehmood, Wajid Meraj
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2021-04-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/5251
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author Humaira Sarwar
Irfan Shah
Ali Akhtar Khan
Adnan Babar
Saad Mehmood
Wajid Meraj
author_facet Humaira Sarwar
Irfan Shah
Ali Akhtar Khan
Adnan Babar
Saad Mehmood
Wajid Meraj
author_sort Humaira Sarwar
collection DOAJ
description Objective: To assess the clinical as well as radiological outcomes of the conservative management of mandibular condyle fractures. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery (OMFS), Armed Forces Institute of Dentistry (AFID), Rawalpindi, from Feb 2018 to Aug 2019. Methodology: A total of 60 patients diagnosed as isolated mandible trauma with unilateral condyle fractures were studied. All patients were assessed radiologically on orthopantomogram (OPG) before the start of treatment. They were assessed clinically for maximum mouth opening (MMO), occlusion, pain and masticatory satisfaction before the start of treatment and after conservative management. Conservative Management includes soft diet only or maxillomandibular fixation (MMF) followed by active physical therapy. After 6 months of follow up, pre-treatment and post-treatment clinical parameters and radiological finding were compared. Results: Sixty patients were managed conservatively, among them 37 (62%) were male and 23 (38%) were female with age range of 21-53 years. There was statistically significant decrease in pain (p-value 0.002) and improvement in mastication (pvalue 0.079) before and after the conservative treatment of mandibular condylar fractures. Overall 46 (77%) patients treated with conservative management were satisfied with their mastication and 40 (67%) patients had mild pain on mastication. All the patients showed satisfactory occlusion and had no occlusal discrepancy on last follow up visit. Maximum mouth opening improved from 32.38 ± 4.54 to 40.90 ± 1.75 after treatment. The mean of preoperative ramus length difference of both sides of the mandible was 4.23 ± 2.3 mm............
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spelling doaj.art-49ba351be2c7479e9c2b9e16cdf29d9d2022-12-21T21:24:18ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422021-04-017126677110.51253/pafmj.v71i2.52515251CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENTHumaira Sarwar0Irfan Shah1Ali Akhtar Khan2Adnan Babar3Saad Mehmood4Wajid Meraj5Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi PakistanObjective: To assess the clinical as well as radiological outcomes of the conservative management of mandibular condyle fractures. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery (OMFS), Armed Forces Institute of Dentistry (AFID), Rawalpindi, from Feb 2018 to Aug 2019. Methodology: A total of 60 patients diagnosed as isolated mandible trauma with unilateral condyle fractures were studied. All patients were assessed radiologically on orthopantomogram (OPG) before the start of treatment. They were assessed clinically for maximum mouth opening (MMO), occlusion, pain and masticatory satisfaction before the start of treatment and after conservative management. Conservative Management includes soft diet only or maxillomandibular fixation (MMF) followed by active physical therapy. After 6 months of follow up, pre-treatment and post-treatment clinical parameters and radiological finding were compared. Results: Sixty patients were managed conservatively, among them 37 (62%) were male and 23 (38%) were female with age range of 21-53 years. There was statistically significant decrease in pain (p-value 0.002) and improvement in mastication (pvalue 0.079) before and after the conservative treatment of mandibular condylar fractures. Overall 46 (77%) patients treated with conservative management were satisfied with their mastication and 40 (67%) patients had mild pain on mastication. All the patients showed satisfactory occlusion and had no occlusal discrepancy on last follow up visit. Maximum mouth opening improved from 32.38 ± 4.54 to 40.90 ± 1.75 after treatment. The mean of preoperative ramus length difference of both sides of the mandible was 4.23 ± 2.3 mm............https://pafmj.org/index.php/PAFMJ/article/view/5251clinical and radiological outcomesconservative managementmandibular condylar fracturesmaxillomandibular fixation
spellingShingle Humaira Sarwar
Irfan Shah
Ali Akhtar Khan
Adnan Babar
Saad Mehmood
Wajid Meraj
CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT
Pakistan Armed Forces Medical Journal
clinical and radiological outcomes
conservative management
mandibular condylar fractures
maxillomandibular fixation
title CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT
title_full CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT
title_fullStr CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT
title_full_unstemmed CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT
title_short CLINICAL AND RADIOLOGICAL OUTCOMES OF MANDIBULAR CONDYLAR FRACTURES AFTER CONSERVATIVE TREATMENT
title_sort clinical and radiological outcomes of mandibular condylar fractures after conservative treatment
topic clinical and radiological outcomes
conservative management
mandibular condylar fractures
maxillomandibular fixation
url https://pafmj.org/index.php/PAFMJ/article/view/5251
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AT aliakhtarkhan clinicalandradiologicaloutcomesofmandibularcondylarfracturesafterconservativetreatment
AT adnanbabar clinicalandradiologicaloutcomesofmandibularcondylarfracturesafterconservativetreatment
AT saadmehmood clinicalandradiologicaloutcomesofmandibularcondylarfracturesafterconservativetreatment
AT wajidmeraj clinicalandradiologicaloutcomesofmandibularcondylarfracturesafterconservativetreatment